Provider Demographics
NPI:1568988772
Name:KAZI, MISHA ZAHRA (DDS)
Entity Type:Individual
Prefix:
First Name:MISHA
Middle Name:ZAHRA
Last Name:KAZI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 SOUTH COLLINS ST.
Mailing Address - Street 2:STE 300
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-4111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4050 S COLLINS ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-7601
Practice Address - Country:US
Practice Address - Phone:817-524-6654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX334541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice